Active Ingredient: Amoxicillin
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The area should be debrided of plaque and food deposits and if pus is present it should be drained. The area is then irrigated with normal saline, chlorhexidine or hydrogen peroxide.
The pericoronal flap should be gently elevated with a curette or scaler and the undersurface of the flap is cleaned with the help of a swab dipped in an antiseptic agent. If the occlusal adjustment is required to prevent trauma to the soft tissue, it should be done.
If the pus discharge is present, an anteroposterior incision is placed with the help of 15 or 12 blade and pus is drained.
Pus drainage can also be established using a bent needle electrode of electrocautery unit.
In the past, chemical agents were used to cauterize the soft tissue.
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In severe cases, where systemic symptoms are also present, aggressive use of antibiotics and analgesics is recommended. The microbiota involved in pericoronal infection consists of a complex mixture of Gram-positive and Gram-negative microorganisms which makes the choice of antibiotics difficult.
Use of broad-spectrum antibiotics or a combination of antibiotics has been recommended according to the extent of involvement. Most commonly, a combination of amoxicillin 500 mg three times a day for 5 days and metronidazole 400 mg three times a day for 5 days is given to control the infection.
The patients who are allergic to penicillin, erythromycin 500 mg four times a day for five days is used. After the acute symptoms subside, the decision to go for extraction or operculectomy is made.
If the involved tooth is not in an appropriate functional position or is partially erupted or is angulated, its extraction is indicated.